NPI | 1508964529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101048850) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0062909) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-06-11 |